Keith L. Ketterman v. West Virginia Division of Highways ( 2022 )


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  •                                                                                 FILED
    September 19, 2022
    EDYTHE NASH GAISER, CLERK
    SUPREME COURT OF APPEALS
    OF WEST VIRGINIA
    STATE OF WEST VIRGINIA
    SUPREME COURT OF APPEALS
    KEITH L. KETTERMAN,
    Claimant Below, Petitioner
    vs.)   No. 21-0429 (BOR Appeal No. 2056013)
    (Claim No. 2020016586)
    WEST VIRGINIA DIVISION OF HIGHWAYS,
    Employer Below, Respondent
    MEMORANDUM DECISION
    Petitioner Keith L. Ketterman, by Counsel Lawrence E. Sherman Jr., appeals the decision
    of the West Virginia Workers’ Compensation Board of Review (“Board of Review”). West
    Virginia Division of Highways, by Counsel James W. Heslep, filed a timely response.
    The issue on appeal is compensability. The claims administrator rejected the claim on
    February 6, 2020. The Workers’ Compensation Office of Judges (“Office of Judges”) affirmed the
    decision in its November 13, 2020, Order. The Order was affirmed by the Board of Review on
    April 22, 2021.
    The Court has carefully reviewed the records, written arguments, and appendices contained
    in the briefs, and the case is mature for consideration. The facts and legal arguments are adequately
    presented, and the decisional process would not be significantly aided by oral argument. Upon
    consideration of the standard of review, the briefs, and the record presented, the Court finds no
    substantial question of law and no prejudicial error. For these reasons, a memorandum decision is
    appropriate under Rule 21 of the Rules of Appellate Procedure.
    The standard of review applicable to this Court’s consideration of workers’ compensation
    appeals has been set out under 
    W. Va. Code § 23-5-15
    , in relevant part, as follows:
    (c) In reviewing a decision of the Board of Review, the Supreme Court of
    Appeals shall consider the record provided by the board and give deference to the
    board’s findings, reasoning, and conclusions . . . .
    (d) If the decision of the board represents an affirmation of a prior ruling by
    both the commission and the Office of Judges that was entered on the same issue
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    in the same claim, the decision of the board may be reversed or modified by the
    Supreme Court of Appeals only if the decision is in clear violation of constitutional
    or statutory provision, is clearly the result of erroneous conclusions of law, or is
    based upon the board’s material misstatement or mischaracterization of particular
    components of the evidentiary record. The court may not conduct a de novo
    reweighing of the evidentiary record . . . .
    See Hammons v. W. Va. Off. of Ins. Comm’r, 
    235 W. Va. 577
    , 582-83, 
    775 S.E.2d 458
    , 463-64
    (2015). As we previously recognized in Justice v. West Virginia Office Insurance Commission,
    
    230 W. Va. 80
    , 83, 
    736 S.E.2d 80
    , 83 (2012), we apply a de novo standard of review to questions
    of law arising in the context of decisions issued by the Board. See also Davies v. W. Va. Off. of
    Ins. Comm’r, 
    227 W. Va. 330
    , 334, 
    708 S.E.2d 524
    , 528 (2011).
    Mr. Ketterman alleges that he injured his left upper extremity due to repetitive work on or
    around November 12, 2019. On December 12, 2019, Mr. Ketterman sought treatment at South
    Branch Hospitalist & Internal Medicine, PLLC, and was seen by Nurse Barger. Mr. Ketterman
    reported left shoulder pain, decreased range of motion, occasional weakness, tingling, and
    occasional numbness for three months with no known injury. The First Report of Injury was
    completed by Debra Davis. It indicates Mr. Ketterman alleged a left shoulder injury due to
    repetitive motions such as climbing, pulling, lifting, tightening bolts, and reaching. The employer
    was notified of the alleged injury on January 14, 2020. It was noted that Mr. Ketterman initially
    reported that his pain was due to arthritis, but an MRI showed a tear. Mr. Ketterman asserts that
    the tear resulted from repetitive movement at work.
    A left upper extremity MRI was performed on December 23, 2019, and showed a small
    tear of the supraspinatus tendon and mild hypertrophic arthropathy of the left acromioclavicular
    joint. A January 17, 2020, BrickStreet Incident Report indicates the approximate injury date as
    November 12, 2019, and noted that the incident was not immediately reported to a supervisor. The
    report stated that Mr. Ketterman alleged a repetitive injury to the left shoulder.
    On January 22, 2020, Joseph Hahn, M.D., treated Mr. Ketterman for a repetitive left
    shoulder injury. It was noted that Mr. Ketterman was referred from Bruce Leslie, M.D., Mr.
    Ketterman’s primary care physician. Dr. Hahn diagnosed complete left rotator cuff tear, not
    specified as traumatic. Rotator cuff repair surgery was recommended.
    In a January 30, 2020, statement recorded by Encova Insurance, Mr. Ketterman asserted
    that around November 12, 2019, he started noticing pain in his left shoulder, which he assumed
    was due to arthritis. After seeking treatment, an MRI was performed and revealed a rotator cuff
    tear. Mr. Ketterman stated that he had continued to work since his pain started. He denied any
    prior left shoulder injuries but did say that he had a right rotator cuff tear two years prior for which
    he had surgery.
    The claims administrator rejected the claim on February 6, 2020. It noted that Mr.
    Ketterman reported a gradual onset of pain due to arthritis and that there was no work event that
    resulted in an injury. The Office of Judges affirmed the claims administrator’s rejection of the
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    claim in its November 13, 2020, Order. It found that the left shoulder MRI showed a small rotator
    cuff tear that was eventually determined to be a complete tear by Dr. Hahn. However, the Office
    of Judges found that Mr. Ketterman failed to prove that the condition resulted from his work. Mr.
    Ketterman asserted in a recorded statement that he noticed the pain around November 12, 2019,
    but did not report the pain for two months because he thought it was due to arthritis. The Office of
    Judges found that Mr. Ketterman did not submit a Report of Injury. He also failed to provide
    evidence that any physician attributed the repetitive left shoulder injury to his employment. The
    Office of Judges concluded that Mr. Ketterman failed to provide sufficient evidence to show that
    he sustained an injury in the course of and resulting from his employment. The Board of Review
    adopted the findings of fact and conclusions of law of the Office of Judges and affirmed its Order
    on April 22, 2021.
    After review, we agree with the reasoning and conclusions of the Office of Judges as
    affirmed by the Board of Review. For an injury to be compensable it must be a personal injury that
    was received in the course of employment, and it must have resulted from that employment.
    Barnett v. State Workmen’s Comp. Comm’r, 
    153 W. Va. 796
    , 
    172 S.E.2d 698
     (1970). Though the
    evidence indicates that Mr. Ketterman has a left shoulder rotator cuff tear, there is no evidence that
    the condition is the result of his work duties.
    Affirmed.
    ISSUED: September 19, 2022
    CONCURRED IN BY:
    Chief Justice John A. Hutchison
    Justice Elizabeth D. Walker
    Justice Tim Armstead
    Justice William R. Wooton
    Justice C. Haley Bunn
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